胫后动脉内踝上链型穿支蒂网状供血皮瓣修复跟后组织缺损  

Posterior tibial artery above the medial malleolus in blood supplying by mesh link-pattern perforator flaps in repairing defect in heel region

作　　者：卢帆[1] 钟雷[1] 蔡震[1] 杜丽平[1] 

机构地区：[1]四川省医学科学院.四川省人民医院整形外科,四川成都610072

出　　处：《四川医学》2011年第12期1918-1919,共2页Sichuan Medical Journal

摘　　要：目的总结胫后动脉内踝上链型穿支蒂网状供血皮瓣修复跟后组织的方法和效果。方法 2007年5月～2011年5月采用胫后动脉内踝上链型穿支蒂网状供血皮瓣修复跟后组织缺损16例。皮肤缺损范围4cm×4cm～6cm×9cm。皮瓣切取范围5cm×5cm～7cm×10cm。供区游离植皮。结果术后皮瓣、植皮均成活良好,创面Ⅰ期愈合。10例随访,平均随访11个月。皮瓣质地色泽好,无破溃。正常穿鞋行走。结论胫后动脉内踝上链型穿支蒂网状供血皮瓣是修复跟后组织缺损的一种有效、简便、可靠的方法。Objective To investigate the method and effect of Posterior tibial artery above the medial malleolus in blood supplying by mesh link-pattern perforator flaps in repairing defect in heel region. Methods May 2007 to may 2011, 16 patients with defect in heel region were treated by Posterior tibia1 artery above the medial malleolus in blood supplying by mesh link-pattern perforator flaps. The size of defects ranged from 4. 0cm × 6. 0cm to 6.0cm × 6.0cm. The size of flaps ranged from 5.0cm × 5.0cm to 7.0cm×10.0cm. Skin grafting to close secondary wound in donor region. Results After operation, 16 patients healed by first intention. Flaps and tree skins were survived. And I0 cases were followed up for 11 months. Color and quality of flaps were good, and no ulcer. The functions of walking and wearing shoes were normal. Conclusion Posterior tibial artery above the medial malleolus in blood supplying by mesh link-pattern perforator flaps can effectively repaire defects in heel region, and it is a convenient and optimal method.

关 键 词：链型穿支蒂皮瓣 网状供血 跟后缺损 修复 

分 类 号：R622[医药卫生—整形外科]